A total of 1239 Female Pelvic Medicine and Reconstructive Surgeons (FPMRS) were identified using the Part D Opioid Prescriber Summary File: 540 (44%) prescribed 0-10 opioid claims, and 699 (56%) prescribed more than 10 opioid claims to Medicare Part D patients.

Among FPMRS prescribing at least 10 opioid claims in the Part D Prescriber PUF, a total of 113,025 opioid claims were prescribed to 97,045 beneficiaries (Table 1). Each FPMRS prescribed to a mean (SD) of 32.7 (25.9) opioid claims to a mean of 28.1 (21.1) beneficiaries.

Each beneficiary received a mean of 1.2 opioid claims, with a supply lasting a mean of 5.4 days.

Combination hydrocodone-acetaminophen accounted for 58,243 opioid claims (52 %), oxycodone acetaminophen 36,457 opioid claims (32%), followed by tramadol hydrochloride 6,750 opioid claims (6 %), and lastly oxycodone 5,116 opioid claims (4%).

The median opioid prescribing rate for FPMRS in AK, DC, DE and RI is zero, or effectively zero. FPMRS in ID, NV and AR have the highest median prescribing rates, which are above 12.8%. The top 5% of opioid prescribers were located in MI, MS, TX, TN, WV, FL, OH, GA, NC, MO, IN, AZ, NV, CO, CA, NJ, SC and AL.

The median opioid prescription rate for prescriptions covered by Medicare Part D across FPMRS was 2.3% from 2013 to 2017.

A 95% interval for the MEDIAN opioid prescription rate for prescriptions covered by Medicare Part D across FPMRS from 2013 to 2017 was 2.28, 0, 16.23 (Median, Lower, Upper).

A 95% interval for the MEAN opioid prescription rate for prescriptions covered by Medicare Part D across FPMRS from 2013 to 2017 was 3.62, 3.5, 3.74 (Mean, Lower, Upper).

Table:

The total amount of beneficiaries that received prescriptions from FPMRS (only those with 10+ prescriptions were considered) and from the TOP5% prescribers are:

There are 40 FPMRS that are considered the top 5% prescribers. Also, rclaims %>% filter(drug_name %in% opioids, total_claim_count > 10) %>% distinct(NPI) %>% nrow()` FPMRS prescribed more than 10 opioids claims.

The top 6 most prescribed drugs are:

total_30_day_fill_count - Median number of Opioid Claims prescribed. Only prescribers with total_claim_count > 10 were considered.

total_30_day_fill_count_5pp - Median number of 30 day fill count Opioid Claims prescribed by the top 5 prescribers.

Only prescribers with total_claim_count > 10 were considered.

total_claim_count

There are only 69 rows in which total_30_day_fill_count != total_claim_count, so total_claim_count_5pp will be virtually equal to table_total_30_day_fill_count_5pp.

total_claim_count_5pp - Median number of Opioid Claims prescribed by the top 5 prescribers.

total_day_supply - Median value of the total amount of days for which a drug was dispensed.

total_day_supply_5pp - Median value of the total amount of days for which a drug was dispensed by the top 5 prescribers.

The opioid prescription rate across FPMRS, whose prescriptions were covered by Medicare Part D, from 2013 to 2017 was 3.6%.

These FPMRS providers prescribed a total of 113,025 opioid prescriptions or 0.038% of all opioid prescriptions covered by Medicare Part D from 2013 to 2017.